Provider Demographics
NPI:1760829964
Name:ANNARELLA, CRISTINA SOLOMITA (COTA)
Entity Type:Individual
Prefix:MRS
First Name:CRISTINA
Middle Name:SOLOMITA
Last Name:ANNARELLA
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 SEBASTIAN
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92602-0908
Mailing Address - Country:US
Mailing Address - Phone:714-319-1325
Mailing Address - Fax:
Practice Address - Street 1:7 SEBASTIAN
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92602-0908
Practice Address - Country:US
Practice Address - Phone:714-319-1325
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-28
Last Update Date:2013-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA00002530224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant